Promise Physical Therapy Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT1534 Issued in AL

Legal business name

PROMISE PHYSICAL THERAPY INC.

Practice address

640 McQueen Smith Rd N
Prattville, AL 36066-7511

Phone

(334) 358-2201

Fax

(334) 358-2236

NPI assigned

Jul 12, 2006

Last updated

Jun 7, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Edwin Price Grice III, PT, ATCNPI 1275568743

Title

President

Phone

(334) 358-2201

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edwin Price Grice III, PT, ATC

  • Physical Therapist
  • Prattville, AL
  • NPI 1275568743
  Medicare reassignment Care Compare group NPD Authorized official
• Joshua Toruhjouwei Iyegha, DPT

  • Physical Therapist
  • Prattville, AL
  • NPI 1225405871
  Medicare reassignment Care Compare group NPD
• William R Jackson Jr., PT

  • Physical Therapist
  • Montgomery, AL
  • NPI 1891803946
  Medicare reassignment NPD
• Chad Michael Guidry, DPT

  • Physical Therapist
  • Montgomery, AL
  • NPI 1790721074
  NPD (past)
• Tiffany B Higginbotham, MSPT

  • Physical Therapist
  • Montgomery, AL
  • NPI 1053363382
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1598790065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 MCQUEEN SMITH RD N",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667511",
            "telephone_number": "334-358-2201",
            "fax_number": "334-358-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 MCQUEEN SMITH RD N",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667511",
            "telephone_number": "334-358-2201",
            "fax_number": "334-358-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "GRICE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "PRICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-358-2201",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AL",
            "license": "PT1534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51515426",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Publix Alabama LLC (Publix Pharmacy #1228)
• Quality & Reliable Transportation, LLC
• Kathryn Quinn, RPH
• David Evan Ragasa, PHARM.D.

• Physical Therapy Clinic/Center in Prattville, AL
• Providers in Prattville, AL by specialty
• Physical Therapy Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.